so i am basically positive i have bpd but my psychiatrist doesn't think i do because i'm 'too self-aware'? i can talk very lucidly abt my symptoms to him but i never 'show' them to him. so he thinks i'm too 'in control' to have it, but i think he'd change his mind if he saw me around my fp... anyway, is it normal to insist on a bpd diagnosis when your professionals disagree, or should i just trust them and drop it?
I wouldn’t say you have to trust them but if you really aren’t getting through to them it might be best to drop it and seek diagnosis elsewhere if possible.
This “in control” thing is just BS anyway. I’m very in control around people I don’t know well in part because of social anxiety holding me back. BPD and it’s symptoms don’t exist in a vacuum where it is the only thing that will have an influence over how you act. In fact I imagine it is common for people with BPD to bottle up things until they do get home around their FP and “let it out”, due to the common occurrence of individuals having difficulty expressing feelings (especially anger) in the past that can feed through to the present day.
Self-awareness is useful to BPD but it does not discount it either. Instead of telling you it means you can’t have BPD, they should be telling you instead that it is really positive that you have that self-awareness so you can utilise it and build on it in your treatment.
I would perhaps ask one more time and maybe inform them of when you “are out of control” and what that feels like to you in the hope of having them understand that your behavior “in session” doesn’t account for 99% of your behavior which is outside the psychiatrist’s room.
Good luck! I hope they listen to you and if they don’t it’s ok to seek a second opinion.
~ Vay